Individual provider Active NPI

Carly Elizabeth Pierce, LMHC

  • Mental Health Counselor
  • Oviedo, FL
National Provider Identifier
1073302816
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24388 Issued in FL
Practice address
2821 Cliffe CT
Oviedo, FL 32765-6380
Phone
(205) 790-1203
NPI assigned
May 6, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24388 FL Primary

Addresses

Primary practice location

2821 Cliffe CT
Oviedo, FL 32765-6380

Mailing address

2821 Cliffe CT
Oviedo, FL 32765-6380
Phone (205) 790-1203

Other practice location 1

215 Mountain Dr
Destin, FL 32541-2346
Phone (205) 790-1203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 14, 2025 through Aug 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH24388FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Counseling Center PA Mental Health PastSince Jan 6, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1073302816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 CLIFFE CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656380",
            "telephone_number": "205-790-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 CLIFFE CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656380",
            "telephone_number": "205-790-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325412346",
            "country_code": "US",
            "telephone_number": "205-790-1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CARLY",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.